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Documentary examining the debilitating addictions of the American working class. Irish film-maker Tony Monaghan, who himself came from a poor family and had little education, examines the addiction issues of American construction workers in St. Louis, Missouri, where he runs his own building business. Through interviews with some of the hard workers of the American Midwest, Tony tries to gain an insight into their lives, why they turned to drink and drugs, and how they manage to remain functional in everyday life.